LAPAROSCOPIC MANAGEMENT OF ACUTE APPENDICITIS IN SITUS INVERSUS TOTALIS | ||
| The Egyptian Journal of Surgery | ||
| Volume 27, Issue 4, October 2008, Pages 213-215 PDF (170.53 K) | ||
| Document Type: Case Report | ||
| DOI: 10.21608/ejsur.2008.369668 | ||
| Authors | ||
| A. Abdelaziz Hassan; Abdalla El Sabagh; A. Hazem Helmy* | ||
| Department of Surgery, Theodor Bilhariz Research Institute, Giza, Egypt | ||
| Abstract | ||
| Aim: Situs inversus totalis is an uncommon anatomic anomaly that complicates diagnosis and management of acute abdominal pain. Expedient diagnosis of common intra-peritoneal disease processes such as biliary colic, acute appendicitis and diverticulitis is often delayed as a result of that. Case presentation: We present a case of 37 years old male patient presented to our emergency room (ER) with a history of left acute lower abdominal pain and vomiting since 3 days with a known history of situs invertus totalis. Subsequent laboratory and imaging studies confirmed the diagnosis of situs inversus and acute left- sided appendicitis. The patient underwent an operative laparoscopy, which revealed appendicular and periappendicular adhesions involving the cecum. Where laparoscopic appendectomy were performed. Conclusion: The laparoscopic approach to an appendectomy is ideal in a patient with situs inversus. | ||
| Keywords | ||
| Laparoendoscopy; Acute abdomen pain; congenital visceral malrotation | ||
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